There are literally hundreds of ergonomic monitor arms on the market. Of these, there are core differentiating factors that are clearly visible, like styling, height adjustment range and number of monitors they’ll hold, and then there are those differences that are invisible to the eye—the internal mechanisms.
The most significant internal difference between different models is whether they are built using gas cylinders (a.k.a. gas strut, gas piston, or air cylinder) or metal springs (a.k.a. spring coils) to provide their counterbalance force.