I'd soon change my number before resorting to most apps. Unless it's like uBlockOrigin where I just feed blacklists into it, I'm not really okay with giving an organization besides my service provider my call history. Read Nomorobo's TOS sometime, it's a doozy.
Of course, this means that call blocking apps have less features than on Android. For example, apps can't dynamically look up a number when a call is revived and make an on-the-fly decision. This is in keeping with iOS' philosophy of "privacy/security over features", vs. Android's "everything is completely open to developers, for better or worse".
It's a bit like what happened in Zimbabwe that devastated that country 20 years ago when all the white farmers were kicked out, but in slower motion.