I'm currently using Twilio's programmable video for a mobile product I'm building. I did a lot of the same review and reached similar conclusions. The popular

I'm currently using Twilio's programmable video for a mobile product I'm building. I did a lot of the same review and reached similar conclusions. The popular open-source self-hosted solutions seem incredibly bloated and buggy. Twilio's offering also manages scaling and infrastructure. I suspect it's cheaper to go with their solution in the beginning and having a self-hosted solution will only become cheaper beyond a certain amount of concurrency/usage. They also offer recording, composition and a couple of other useful features. If anyone has implemented a self hosted solution that's cheaper to host yourself I'd be interested in reading about it.