COBRA quote is huge, any alternatives? after 15 years as a nurse's aide

I was offered COBRA and the monthly cost is more than I expected as a nurse's aide. I have read a lot of threads here and could not find my exact situation. My spouse has a chronic condition, so dropping coverage feels risky. Did anyone switch mid-year?

I priced both side by side: total yearly cost, doctors in network and the deductible. Marketplace was cheaper for us, but only because our doctors were covered.