NB-Fi (Narrow Band Fidelity) is a promising protocol for low-power wide-area networks. NB-Fi networks use license-exempt Industrial, Scientific, and Medical (ISM) bands and, thus, NB-Fi devices can work in two modes: with and without Listen Before Talk (LBT). This paper compares these modes with different implementations of LBT in terms of packet loss rate (PLR), delay, energy consumption, and throughput. Interestingly, in some scenarios, the results contradict expectations from the classic papers on channel access because of the peculiarities of the NB-Fi technology. These contradictions are explained in the paper. The results show that LBT can significantly improve all the considered performance indicators when the network load exceeds 40 packets per second. With extensive simulation, we show that in a small NB-Fi network, the optimal PLR, delay, and energy consumption are obtained with the implementation of LBT that corresponds to non-persistent CSMA. In a large NB-Fi network, where some devices can be hidden from others, the best strategy to improve PLR, delay, throughput, and energy consumption is to use the implementation of LBT that corresponds to p-persistent CSMA.