A similar model was used in the Hafele-Keating experiment to test special relativity on two planes flying in opposite directions. Miniaturization was key.
Contains a disposable tube with 6g of Caesium. You boil it, so when it runs out, you change the tube, 40k USD. Their tube is made by Agilent Technologies, so a replacement since that opened in 1999, and the original machine is from the 60s.
Detection is done with an electron multiplier.
youtu.be/eOti3kKWX-c?t=1166 They compare it with their 100 dollar GPS disciplined oscillator, since GPS satellites have atomic clocks in them.