Low-cost-of-living (that is: undesirable) US state here.
~$1800/m for bad family (married couple + kids) health insurance on the HCA Marketplace. There are no providers beyond the two on there still selling individual insurance to anyone in this state. Other providers are only interested in selling group insurance. Check with insurance providers directly, check with insurance brokers, that's what you hear. No, no-one sells individual insurance in this state except those two providers you've never heard of. Other providers will only deal with businesses or other organizations.
How is the insurance bad? Well, for one thing, it still leaves you with ~$25,000 of risk exposure per year. That is, if things go very poorly (two family members get very sick, basically—nb, because US healthcare is actually, no-joke, insane, "gets very sick" includes "gets pregnant"), you could potentially have to pay $25,000, total, in a given year, on top of the monthly premiums. For another, US insurance plans have a concept of a "network", that is, particular places (hospitals, clinics, testing centers) where the insurance applies. For most insurance, you'll pay most or all costs if you go "out of network". These two providers each have very different networks, such that, for our location, one must choose between having the only children's hospital in the area "in network" (and of course said hospital is itself a "network" of locations and they've bought up everydamnthing related to children's healthcare in our city, because healthcare in the US is batshit insane) or having either of the two nearest normal hospitals to us be in-network.
Oh, and get this: US healthcare plans like to restrict coverage geographically. I think they all have to cover emergency room visits anywhere, but I wouldn't want to see what happens if you get in a bad car wreck, or have a heart attack, or whatever, in another state and can't be moved and are transferred out of the ER to any other part of the hospital. My guess is you get hit with five to six figures of bills that insurance won't touch. That's right: it's probably advisable to get travel healthcare insurance to travel in your own goddamn country. Further, lots of people live within tens of miles of a state border and might routinely travel—even just to commute to work—outside the area their insurance covers. Hope they never need anything but ER care while doing that!
US healthcare: fucked top-to-bottom, and we pay a huge premium for the "privilege" of "enjoying" it, because freedom or something.