The sticker price is misleading
A $29/month plan looks obvious until real call volume arrives and the overages start. A $199–$699/month vertical plan looks reasonable until you add three years and compare it to a one-time deployment that does the same thing.
Run the three-year math before assuming the cheap monthly plan is the cheap option. For most practices fielding meaningful call volume, by year two the SaaS subscription costs more than the custom build and you still do not own it.
Where SaaS still wins
If your call flow is straightforward — hours, location, basic booking, take a message — and the vendor template covers it, a SaaS plan will get you 80% of the value at 0% of the deployment time.
Skip the custom build until you have learned what the actual workflow needs. Hand-deployment makes sense once you can describe the call flow precisely. Until then, rent.