Twilio is pumped over at Intel Techniques by Michael Bazzell. They charge $1.15 per month per number, which isn't bad considering it's a fairly reputable company. After signing up for a trial number and going through these long instructions, I was able to make an outgoing call. To get MMS going would require a whole other set of steps (that I have yet to find) just to get it setup, and then you have to go through an MMS verification process with Twilio which looks to be geared towards businesses. In fact, Michael also said on episode 277 how Twilio has been less interested in supporting him and his listeners and appears to be more geared towards businesses. So I guess I'll go bark up one of the other two options from my original post unless someone has any good reasons to do otherwise.

I hate to admit it but I'm still using Google voice. I've run into a lot of trouble with some sites requiring a cell phone number instead of a virtual number. So the refusing the Google voice number so I have to fall back to a Google Fi number. Which isn't ideal.