Between $10 and $1,700 there are a lot of options for a device for producing "an efficient sound signal."
I have noticed that many new boats are equipped with a small electrically operated horn and have a switch at the helm console marked HORN. I assume the boat manufacturers are doing this so these boats, even though most of then are less than 12-meters in length (40-feet), will come equipped with a horn. I can appreciate the thinking on this.
Imagine you just bought a new boat, say a 210 MONTAUK, and you take it out for the first time. The USCG stops you, comes aboard, and demands a safety equipment inspection. You need to show them all the safety gear required. Oh, sure, you have PFD's for crew; you have a fire extinguisher (or two); you have a bailing bucket; you have daytime visual distress signals and nighttime visual distress signals. But where is the "efficient sound signal" device. Oh, yes, right here on the helm, with that switch marked "HORN."
Now if I just paid $150,000 for a 21-foot boat and I discovered, rather painfully and embarrassingly, that the boat builder did not include as standard equipment a device that would qualify as an "efficient sound signal" device, then I would be really upset.
The typical horn I have seen looks something like this one:

- Fig. 1. ATTWOOD Low Profile 12-Volt Boat Horn, $41
- loProfileBoatHornAttwood.jpg (16.92 KiB) Viewed 3311 times
Cf.:
https://www.easternmarine.com/boat-horn-114787By the way, I picked ATTWOOD because ATTWOOD is just a operating segment of Brunswick, much like Boston Whaler.