Corlanes has a reamer, it's about an hour job I was told so you'd be looking at a couple hundred depending on who you use. .243AI seems like a very decent improvement on its parent, sooner or later I'm going to be working with it. I already have a die set that wasn't so easy to track down...
guntech is right, very little if any difference in velocities, even with a bit more powder in the case.
Even the 6mm Rem doesn't give you much more velocity, other than with heavy/long bullets and IMHO it's not enough to worry about.
He lists the benefits to the cartridge case itself.
The one thing it can do, is clean up a sloppy chamber, which may improve accuracy if the reamer is ground to tight specs.
I've done this "upgrade" with 243 chambered rifles that have long or worn throats. Some of those older Rugers were really bad. Setting back the shoulder a couple of threads and re cutting the chamber with the 243AI reamer usually brought accuracy back within acceptable and sometimes excellent parameters.
Bores will only burn so much powder. It's the initial pressure curve that will increase or decrease velocities. Increasing a powder charge by 10% doesn't mean you will get a 10% increase in velocities. It could mean you get a dramatic increase in initial pressure spikes as you reach the saturation point.
Once you reach that saturation point, pressures spikes become higher but velocities don't increase noticeably in proportion.
That being said, the 243AI is a worthwhile upgrade IMHO, if only for better results from the reloading aspect.