Which ethical choices you mean, the ones made by me as consumer or by them?
Spotify - 10 euro to get ad-free version
Netfix - 9 euro, ad free
HBO - 15 euro
Youtube - ? euro.
Torrents - free & ad free
National television - tax. about 50 euro / year - and still loaded with ads
So there are options, but they cost quite a bit, especially if you would want more than one. Having said that, maybe youtube will offer a really reasonable price (like $20 yearly) and i would consider it, but i doubt their pricetag will be that low.
I can't help that the 'default' state is to bombard listeners or viewers with ads. With up to 10-30% airtime spend on ads on some commercial TV but also on our national (tax payed) radio. With 30 second ads to watch a 2 minute video. And webpages with 75% ads and 25% content. And worse: the most annoying kind of ads, the ones that makes you pull your hair and actively makes you mute or switch channel.
If ads were not that obtrusive, no-one would bother to block them. However it became an arms race - where the blockers got better and the ads even more annoying.
So, i have no idea why you find it unethical that i, or any other customer, protect myself from ads. Or is it unethical to wear a safety belt, or earplugs at a rock concert, or safety glasses when using machinery, because i see very little difference between physical and mental damage (annoyance). I have the right to protect myself from unwanted influences.
I could even turn the argument and say no-one has the right to (un)consciously steer my (shopping) behaviour. Others would even make the argument that obesity and smoking addictions are largely caused by advertising. So again, who's being unethical here?