No DSL available either, I presume.
Some areas have rf-based capabilities, which is what I used out north of Mandan where DSL was not available.
I've used the Verizon card for work, very handy at airports so I didn't have to spend $10 an hour of internet service. Never had an issue or problem, not even a dead zone. This applies only to air cards from 3 years ago, cannot vouch for the new G3 cards.
Never used satellite, but I understand it is a mite slower than the air cards. Since I do have satellite TV, they are hinky when it comes to storms.