56 Aegis BMD equipped ships. Source: https://sgp.fas.org/crs/weapons/RL33745.pdf Japan also has 8 equipped ships.
Operational land-based Aegis BMD sites in Poland, Romania and the US.
Given how well Russian technology has performed in Ukraine versus American technology, I'd put money on American tech. I'd also put money on the US having systems that aren't public knowledge.
Russia's sabre rattling has grown increasingly unhinged and frequent which suggests they feel the same way.
Edit - should mention, it's thought that Russia has ~300 operational ICBMs. Also, I don't think our systems would be 100% effective. But I think they'd be effective enough that the US would survive.