One of the only (the only?) commercial grade implementations was launched recently by us at PlanetScale:
https://planetscale.com/blog/announcing-planetscale-vectors-...
https://planetscale.com/blog/announcing-planetscale-vectors-...
I'm sure it works great, but at that price point, I'm stuck with self-hosting Postgres+pgvector.
But yes, I it seems extereme. But it is also cheaper than hiring a dedicated postgres/db guy who will cost 5 to 10x more per month.