I'm in the San Francisco Bay area, and the speeds here are the worst and the prices the highest of anywhere I've ever lived.
Sometimes I say that in response to people claiming it's more expensive in rural areas because the cost of infrastructure is higher than in populated areas.
Other times people tell me it's high here because there's a huge population and so more people to serve.
Here in the epicenter of the internet, internet service sucks, and everyone uses contradictory excuses for it.
The REALITY is that prices are high in the US because we have virtual monopolies and no regulation to speak of, and so capitalists do what capitalists do in those conditions: