There are several ways to remove skin lesions on the face. Most frequently, they are "shave off" flat with the scalpel or excised, meaning cut out completely. Option number one, or shaving, usually involves getting them flat with the surrounding skin, It takes a little longer to heal, leaves the "roots" in place, meaning they can come back in several years, but if done well, it is least likely to leave a scar. Option number two, cutting it out completely, involves cutting the lesion, the "root", and a small margin around it. It leaves a small hole in the skin, which then is closed pulling it together, adjusting as necessary, and leaving sutures. This is the option we always have to choose for malignant lesions, since we need to remove the roots. It will leave a scar, which can be fairly inconspicuous, but will always be there. Usually either the plastic or facial plastic surgeon or dermatologist will discuss all of these options with you and recommend the best one for you. Hopefully they will have some before and after photos of similar lesions. You have to realize that the pricing we as physicians establish for our cosmetic procedures is somewhat arbitrary. Some doctors try to keep their prices realistic, and some may charge whatever they feel like. The difference in price in your case seems fairly large and it may or may not be related to the skill of the doctor, so perhaps a second discussion with both of these professionals may be in order.