Sometimes free as well. Certain CROs offer free screening:
https://cardiometabolicscreening.careaccess.com/en?_gl=1*1du...
I'm prescribed a baby aspirin for the Lp(a). The AHA no longer recommends baby aspirin to the general population but 218 takes me out of the general population. The thinking is that Lp(a) clots and baby aspirin counteracts that.