A new analysis from the group Health Care for America Now shows the nation’s five largest insurance companies paid top executives nearly $200 million last year while hitting customers with double-digit premium hikes. Execs at CIGNA, Humana, UnitedHealth Group and WellPoint all received pay hikes in 2009. CIGNA paid its top two executives over $136 million. The lone top exec to see his pay decline was Aetna’s Ron Williams, who received $18.2 million.