Like Tom I shot MF back in the film days but mostly above water.
I would point out that back then I was shooting Pentax 6X7 and 645 formats. These films were much larger than 35mm film. Todays MF sensors do not have the same huge differences in size found with film so things like DOF differences are not as large.
I have used both the PhaseOne and Hasselblad 50 to 65MP range backs underwater and the difference v. 35mm "full frame" is noticeable all things being equal. While wide lenses do require a larger 250mm v. 230mm port for best corners as suggested above wet lenses like the WACP-1/2 can be used to get between 109 to 140 degree AOV's.
The new GFX-100S (102MP) is $6000.00 and uses a housing no bigger than many DSLR housings.
Last you need to consider that most of the pro photographers that will be using these systems probably aren't Wetpixelers but non-U/W shooters that have a need for the very best image quality for advertising, fashion and so on. I did a workshop for Hasselblad Excursions in Grand Cayman a few years back and All of the eight students were on the commercial side shooting things like architecture and fashion with little or no U/W experience but all expressed a need for the ability to shoot some U/W work. All eight were also long time Hasselblad users with large investments in that glass.
Attached is a photo using the Hasselblad 120mm macro an excellent lens that goes all the way to 1:2, the Fujifilm 120mm macro does the same 1:2. This results in an image that is about 87mm on the long side v. 36mm for 35mm "full frame".
