The procedures cost the government more than $25,000, billing records show.
The procedure is available at about 126 centers around the country and costs $400 to $700.
The procedure usually costs $8,000 to $10,000 a try, more when patients are older or have complex fertility problems.
This makes the procedure take longer and cost more.
Toms said the procedure would only cost him a few days of practice time.
The two procedures cost $3,850, all covered by insurance.
The procedure costs $250 to $800, an enormous fee in a country where the average salary is about $200.
The procedure costs too much (around $40,000) to use on anyone who hasn't tried everything else.
But after 14 weeks, the procedure gets more complicated and can cost from $650 to $700.
The procedure costs about $8,000 for each attempt, and most couples try several times before they succeed.