So finally it goes down to the transformer isolation,it seems the usual way even the XLR output from the pre,they usually get the rca signal first and use the transformer to get the inverse signal and consist the XLR sigjnal.
If the preamp has both RCA and XLR outputs its quite rare to see a transformer used for the XLR output.
In high end audio in particular, in a situation like this the RCA is one of the phases of the XLR output (which has an inverting and non-inverting output). The problem with this approach is that ground is being used to complete the circuit, and this leaves the circuit vulnerable to ground loops. One of the goals of the balanced line system is to eliminate ground loops.