They’re good enough and they’re dirt cheap. Pricing really matters since you pass savings on to your customers. Vermont Telecom, as an example of a reasonably sized regional ISP with thousands of customers, uses Cogent as their primary upstream.
I wouldn’t fall into the trap of trying to build something out using hardware or upstream providers that people on Internet forums that don’t have a financial stake in making an ISP work financially and operationally approve of.
As you get bigger, you can put a router somewhere (or two somewheres) with cogent and more options and transport through cogent to get back to your service area.
You don't have to buy IP transit from who sells you physical connectivity.
I've heard they have good connectivity with Comcast.
Consider one of their customers, FDC.