@fastfreight This is very equipment specific. Most high quality devices which offer balanced outputs just mirror the hot signal with similar components, but perhaps only at the very output stage. It’s a bit of fear mongering to say that balanced outputs are normally inferior. They are not. In some cases however the inputs may make no difference. I know of at least a couple of amps which have XLR inputs and then ground the (-) pin. The XLR is just a convenience.
OTOH, using a transformer based output has the advantage of never causing a ground loop.